Prior Authorization Specialist

Now hiring for a Prior Authorization Specialist.

Responsibilities:

• Identify appropriate prior authorization paperwork to file based on MCE
• Complete prior authorization paperwork and submit to appropriate MCE
• Gather necessary Clinical Documentation (Assessment and Treatment Plan for Initial prior authorization, progress notes for redetermination)
• Ensure timely communication and follow-up with the Clinical Team and Supervisors to secure necessary documentation for submission and appeal of authorizations and denials
• Ensure timely filing of prior authorization with appropriate MCEs upon intake and delivery of services
• Calling MCEs to follow up on prior authorization and provide additional documentation or info to MCEs as needed

Qualifications:

• Analytical mindset and organization are required 
• The ability to multi-task is required
• Comfortable working in a team environment is required
• Must be organized and able to work in a fast-paced environment.
• Must know what payors are
• Must know what procedure codes are and the authorization process

This position is remote, but requires the person to reside in Indiana.